Individual
IAN MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 ESTATE PL, MEMPHIS, TN 38120-0600
(901) 395-2121
Mailing address
920 MADISON AVE FL 2, MEMPHIS, TN 38103-3438
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
76090
TN
Other
Enumeration date
05/14/2019
Last updated
06/28/2024
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